Healthcare Provider Details

I. General information

NPI: 1861386021
Provider Name (Legal Business Name): WAYNE COUNTY HOSPITAL, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/04/2025
Last Update Date: 06/04/2025
Certification Date: 06/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 S CREEK DR STE 112
MONTICELLO KY
42633-9472
US

IV. Provider business mailing address

166 HOSPITAL ST
MONTICELLO KY
42633-2430
US

V. Phone/Fax

Practice location:
  • Phone: 606-348-3341
  • Fax: 606-348-0005
Mailing address:
  • Phone: 606-340-3222
  • Fax: 606-340-3258

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: ANNE M SAWYER
Title or Position: CFO
Credential:
Phone: 606-340-3200